Technology Enhanced Substance Use and HIV Service Navigation for Sexual and Gender Minority Young Adults Surveilled by the Carceral System

技术增强了监狱系统监控的性少数群体年轻人的药物使用和艾滋病毒服务导航

• 批准号: 10771060
• 负责人: Emily F Dauria
• 金额: $ 10万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10771060
• 关键词: AIDS prevention; Address; Adherence; Administrative Supplement; Adult; Affect; Award; Awareness; Characteristics; Clinical Trials; Community of Practice; Complex; Consolidated Framework for Implementation Research; Continuity of Patient Care; Enhancement Technology; Feedback; Focus Groups; Funding; Future; Goals; HIV; HIV Seropositivity; Healthcare; Heterosexuals; Imprisonment; Improve Access; Individual; Inequity; Intervention; Intervention Studies; Interview; Jail; Lead; Link; Literature; Measures; Mental Health; Modeling; Movement; Outcome; Parents; Participant; Patient Self-Report; Persons; Population; Prevention strategy; Prisons; Process; Publishing; Research; Risk; Services; Sexual Health; Sexual and Gender Minorities; Structure; Subgroup; Substance Use Disorder; System; Technology; Testing; Time; Trust; United States; Work; acceptability and feasibility; barrier to care; behavioral health; behavioral health intervention; cisgender; disorder prevention; disparity reduction; eHealth; effective intervention; efficacy testing; experience; gender minority; gender minority group; health care availability; high risk; implementation process; improved; informant; innovation; intervention delivery; meetings; minority stress; minority stressor; multidisciplinary; peer; pilot test; pre-exposure prophylaxis; prevention service; preventive intervention; racism; satisfaction; service intervention; sexual minority; social; social stigma; study population; substance use; substance use treatment; theories; treatment services; uptake; young adult

Project Summary/Abstract There is a strong scientific premise for the study of integrated substance use disorders (SUDs) and HIV- prevention interventions for individuals surveilled by the carceral system (CS). SUDs lead to increased rates of CS involvement as well as increased risk for HIV-acquisition. Estimates of the proportion of the CS-involved population with a SUD reach 72%, and ~150,000 persons with HIV pass through a detention facility annually. Individuals with a self-reported sexual or gender minority (SGM) identity are overrepresented in the CS, and experience well established HIV and substance use inequities. Although pre-exposure prophylaxis (PrEP) is a proven effective intervention for HIV-prevention, its maximal impact depends on uptake, and adherence among those at high risk. To date, few published studies have examined substance use treatment and HIV-prevention uptake among CS-involved populations, including among SGM adults. Peer-led navigation interventions have demonstrated efficacy in building trust and reducing barriers to healthcare engagement, and hold strong potential to address multiple, and complex barriers to treatment and HIV-prevention linkage for SGMYA surveilled by the CS. eHealth approaches to SUD and HIV prevention also hold promise because they improve access to effective intervention services, particularly for SGM groups and younger people. As a multidisciplinary team with expertise in behavioral health (substance use, mental health, HIV prevention), SGM and CS involved adults, and eHealth enhanced and navigator-led behavioral health interventions, we propose to address notable gaps in the literature by expanding the aims of our parent award to examine the feasibility and acceptability of an eHealth enhanced navigator-led SUD and HIV-prevention referral and linkage intervention for SGMYA surveilled by the CS. Study aims are to: 1) Tailor the content and structure of an eHealth technology-supported navigation intervention for substance use treatment and HIV-prevention (PrEP) services to the unique needs of SGMYA (18 to 29 years) surveilled by the CS; 2) Refine and test the tailored eHealth enhanced, navigator-led substance use treatment and HIV prevention (PrEP) intervention for SGMYA surveilled by the CS, for appropriateness, satisfaction, and fidelity. This administrative supplement appropriately expands the scope of the parent award and will directly inform a future R01 clinical trial study to test the efficacy of the eHealth enhanced navigation intervention for improving uptake of substance use treatment and HIV prevention services for SGMYA impacted by the CS.

项目摘要/摘要 研究综合物质使用障碍（SUD）和HIV-有一个很强的科学前提 对发品术系统（CS）监视的个体的预防干预措施。泡沫导致率提高 CS参与以及增加HIV的风险。 CS涉及的比例的估计值 SUD的人口达到72％，艾滋病毒的约15万人每年通过拘留所。 具有自我报告的性或性别少数族裔（SGM）身份的个人在CS中的代表性过多，并且 体验良好的艾滋病毒和药物使用不平等。尽管预防前预防（PREP）是 经过证明的有效干预艾滋病毒预防，其最大影响取决于吸收，并遵守 那些处于高风险的人。迄今为止，很少有研究检查药物使用治疗和预防HIV CS涉及的人群（包括SGM成年人）的吸收。同行领导的导航干预措施有 在建立信任和减少医疗保健参与的障碍方面表现出功效，并具有强大的潜力 解决多个治疗的障碍和复杂的障碍和预防艾滋病毒的联系，以通过 CS。 eHealth的卫生卫生和艾滋病毒预防方法也持希望，因为它们可以提高获得有效的机会 干预服务，特别是针对SGM团体和年轻人。作为具有专业知识的多学科团队 在行为健康（药物使用，心理健康，预防HIV），SGM和CS涉及成年人以及EHealth中 增强和导航者主导的行为健康干预措施，我们建议解决文献中的显着差距 通过扩大我们父母奖的目标，以研究EHEADH的可行性和可接受性增强 由Navigator主导的SUD和预防艾滋病毒的转介和CS监视的SGMYA的连锁干预。学习 目的是：1）定制eHealth技术支持的导航干预的内容和结构 SGMYA的独特需求（18至29年） 由CS监视； 2）完善并测试量身定制的EHEADH增强的Navigator领导的药物治疗 以及针对CS监视的SGMYA的预防（PREP）干预措施，以进行适当性，满意度和 忠诚。这种行政补充适当地扩大了父母奖的范围，将直接 告知未来R01临床试验研究，以测试EHEADH增强导航干预的功效 改善了受CS影响的SGMYA的药物使用治疗和HIV预防服务。